Individual
LATRICE ANTOINETTE MCCLORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
951 COURT AVE, MEMPHIS, TN 38103-2813
(901) 577-9400
Mailing address
7848 AUTUMN HOLLOW DR APT 2, CORDOVA, TN 38016-5914
(901) 791-5882
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
12989
TN
1041C0700X
Clinical Social Worker
Primary
8712
TN
Other
Enumeration date
02/10/2022
Last updated
02/05/2024
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